Individual
ADAM M MAGERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3000
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62781-3428
(217) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041454160
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.454160
RN LICENSE
IL
Enumeration date
12/19/2022
Last updated
12/19/2022
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